Boffano Paolo, Roccia Fabio, Campisi Paola, Gallesio Cesare
Division of Maxillofacial Surgery, Head and Neck Department, San Giovanni Battista Hospital, University of Turin, Turin, Italy.
J Oral Maxillofac Surg. 2012 May;70(5):1093-5. doi: 10.1016/j.joms.2011.05.006. Epub 2011 Aug 6.
To present and discuss the demographic and clinical aspects and the management of 44 cases of osteomas of the craniomaxillofacial region.
A retrospective chart review was performed of all cases of osteoma diagnosed from 2000 through 2010. The data collected included age at diagnosis, gender, lesion location, presenting symptoms, type of osteoma, treatment, and outcomes.
Forty-two patients with 43 osteomas were diagnosed during the study period. Their mean age was 48 years. The male-to-female ratio was 0.4:1. Twenty-one patients were asymptomatic, whereas 10 patients complained about headache and neuralgia, and 11 patients presented with facial asymmetry. Only 21 symptomatic osteomas were surgically removed after histologic diagnosis, whereas for the asymptomatic lesions a careful follow-up was maintained.
The slow growth of osteomas allows a conservative attitude toward asymptomatic lesions. Thus, when surgery is performed, it is extremely important to plan a surgical approach that minimizes any damage to the adjacent structures.
介绍并讨论44例颅颌面区域骨瘤的人口统计学和临床特征以及治疗方法。
对2000年至2010年诊断的所有骨瘤病例进行回顾性病历审查。收集的数据包括诊断时的年龄、性别、病变部位、临床表现、骨瘤类型、治疗方法及结果。
研究期间共诊断出42例患者的43处骨瘤。他们的平均年龄为48岁。男女比例为0.4:1。21例患者无症状，10例患者主诉头痛和神经痛，11例患者表现为面部不对称。仅21例有症状的骨瘤在组织学诊断后接受了手术切除，而对于无症状病变则进行密切随访。
骨瘤生长缓慢，因此对于无症状病变可采取保守态度。所以，在进行手术时，规划一种能将对相邻结构的损伤降至最低的手术方法极为重要。
